IndividualActive
Audria Baxter, PTA
NPI 1780717405 · Physical Therapy Assistant · Poteau, OK
Provider details
- NPI number
- 1780717405
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 1513 (OK)
Practice location
2104 N Broadway St
Suite B
Poteau, OK 74953-2501
Phone: (918) 649-0799
Fax: (918) 649-0797
Mailing address
2104 N Broadway St
Poteau, OK 74953-2501
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.